A 45-Year-Old Woman Comes to the Office Due to Several

A 45-year-old woman comes to the office due to several months of episodic right upper quadrant abdominal pain associated with nausea.  The pain is often brought on by fatty meals and subsides in 1-2 hours.  The patient has no fever, vomiting, diarrhea, melena, or bright red blood per rectum.  Her BMI is 31.2 kg/m².  Physical examination is unremarkable.  A cholecystokinin stimulation test is performed and shows slow and incomplete gallbladder emptying.  This patient is most likely to have which of the following pathologic findings?

A) Biliary sludge
B) Black pigment stones
C) Brown pigment stones
D) Cystine stones
E) Uric acid stones

Correct Answer:

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